| NPI | 1417605593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE AITKENS Director 973-641-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 291U00000X Clinical Medical Laboratory | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2025-02-19 |